$571.40
44405 describes colonoscopic dilation. Use 44402 when a stent is placed to maintain an open passage through the narrowed segment.
On this page
CMS RVU26D · Effective 2026-10-01
44402 Colonoscopy Medicare reimbursement rates in Ohio
Reports colonoscopy with placement of a stent across a colorectal narrowing or obstruction to help maintain an open passage. Compare 44402 office and facility rates across CMS payment localities in Ohio.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 44402 in Ohio?
Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$224.09
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastrointestinal endoscopy
About 44402: Colonoscopy with colonic stent placement
Reports colonoscopy with placement of a stent across a colorectal narrowing or obstruction to help maintain an open passage.
During colonoscopy, the endoscopist delivers and positions a stent across a narrowed or obstructed segment of the colon to help keep the lumen open. This may be used for symptomatic colorectal obstruction, including obstruction caused by a tumor or a tight stricture, when endoscopic stenting is selected. Gastroenterologists and colorectal surgeons commonly perform the procedure in a hospital or ambulatory endoscopy setting.
Report 44402 when the colonoscopy includes actual stent placement. The procedure note should identify the indication and site of the narrowing or obstruction and document the stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Bilateral adjustment is inappropriate, and modifier 50 should not be used. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 44402
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.58 · 67%
- Practice expense (office) RVU1.78 · 26%
- Malpractice RVU0.50 · 7%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
44402 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
44403 describes colonoscopic resection, while 44402 describes placement of a stent across a narrowing or obstruction.
$434.88
44404 describes colonoscopic injection; 44402 is selected when the service includes stent placement.
Compare 44402 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Ohio →
Office / nonfacility
Unavailable
Facility
$224.09
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44402 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
5,417
- Code
- 44402
- Physician work
- 4.58
- Practice expense
- 1.78
- Malpractice
- 0.50
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.58 | × 1.000 | 4.5800 |
| Practice expense | 1.78 | × 0.913 | 1.6251 |
| Malpractice | 0.50 | × 1.008 | 0.5040 |
| Total RVUs | 6.7091 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$224.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1 |
| Practice expense | 1.78 | 0.913 |
| Malpractice | 0.5 | 1.008 |
(4.58 × 1 + 1.78 × 0.913 + 0.5 × 1.008) × $33.4009 = $224.09
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
44402 billing questions
When should 44402 be selected instead of a colonoscopy with dilation?
Use 44402 when a stent is placed across the colonic narrowing or obstruction. A dilation-only procedure is described by 44405.
Can a related endoscopy be reported during the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Document each service performed; the applicable family pricing governs payment.
Should modifier 50 be appended for a stent placed on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What documentation supports reporting 44402?
Document the indication, the location and nature of the colonic narrowing or obstruction, and the stent placement performed during colonoscopy.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant, co-surgeon, or surgical team be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,41444392,,Colonoscopy & polypectomy,A,,3.44,8.91,,1.35,,0.59,12.94,5.38,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41544394,,Colonoscopy w/snare,A,,3.93,10.04,,1.54,,0.51,14.48,5.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41644401,,Colonoscopy with ablation,A,,4.23,72.58,,1.68,,0.47,77.28,6.38,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41744402,,Colonoscopy w/stent plcmt,A,,4.58,1.78,NA,1.78,,0.50,6.86,6.86,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41844403,,Colonoscopy w/resection,A,,5.36,2.01,NA,2.01,,0.59,7.96,7.96,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,41944404,,Colonoscopy w/injection,A,,2.94,10.61,,1.25,,0.39,13.94,4.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42044405,,Colonoscopy w/dilation,A,,3.15,14.89,,1.36,,0.36,18.40,4.87,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703